title: Telescopic technique associated with mucosectomy: a simple and safe anastomosis in pancreaticoduodenectomy.
abstract: Pancreatic fistula remains a common problem and a main cause of morbidity and mortality after pancreaticoduodenectomy (PD). We have developed a safe and simple method of pancreaticojejunostomy in 33 patients, in whom approximately 3 cm of jejunal mucosa was cut to improve the adhesion between the loop and pancreatic parenchyma after end-to-end invagination. Furthermore, we have performed a purse-string procedure on 21 patients to secure the jejunum to the intussuscepted pancreatic stump instead of continuous running fashion with double needles of 5-0 monofilament synthetic absorbable sutures. This procedure was proved to be much more expeditious, and only 2 of 33 patients had pancreatic leakages. Therefore, the telescopic technique associated with mucosectomy is an acceptable and safe surgery for pancreaticojejunal anastomosis.
authors.affiliation: Department of Surgery, Nantong University, Nantong 226001, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Li
authors.forename: Qinsheng
authors.initials: Q
authors.lastname: Mao
authors.forename: Rui
authors.initials: R
authors.lastname: Li
authors.forename: Zhiwei
authors.initials: Z
authors.lastname: Wang
authors.forename: Wanjiang
authors.initials: W
authors.lastname: Xue
authors.forename: Peng
authors.initials: P
authors.lastname: Wang
authors.forename: Jiangwei
authors.initials: J
authors.lastname: Zhu
authors.forename: Houxiang
authors.initials: H
authors.lastname: Li
mesh_terms: D000714:Anastomosis, Surgical; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D007902:Length of Stay; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D010193:Pancreaticojejunostomy / Q000379:methods*; D013396:Suction; D013536:Suture Techniques / Q000009:adverse effects; D013537:Sutures; D016896:Treatment Outcome